公平配置医疗卫生资源应坚持的原则

党的十六届六中全会提出了我国卫生事业改革发展的基本原则、重大举措和目标任务,指明了医疗卫生改革的方向。为了在构建社会主义和谐社会的伟大进程中不断发展卫生事业,努力满足人民群众日益增长的医疗卫生服务需求,就必须公平配置医疗卫生资源,坚持以人为本,维护人民健康权益,坚持公平优先,公平与效率相统一,坚持政府主导与市场机制相结合,坚持以农村卫生工作为重点,坚持与经济发展水平相适应,分阶段实现卫生服务的目标。     

Death associated with inadvertent hydrocodone overdose in a child with a respiratory tract infection

A 3-year-old child died of the combined effects of a bacterial superinfection and a relative overdose of hydrocodone prescribed for a cough due to a presumed viral respiratory tract infection. This case illustrates the importance of evaluating the effects of prescribed medication in assessing the cause and mechanism of death in children dying suddenly of presumed natural disease.     

普法应侧重培养法律思维——从贪官忏悔“不懂法”谈公务员群体“五五”普法内容

据媒体报导,中组部干部监督局在分析违法犯罪的86名原领导干部的反省材料时发现,其中81.4%的人认为自己犯罪与不懂法有关。难道这是全民普法20年工作没做到位?“我不是很懂法,并不知道事后收人家钱是犯罪行为。”说这话的是安徽省委政法委原副书记、曾担任过铜陵市委书记、阜阳     

多元价值背景下价值教育的挑战及其转向

当多元价值成为社会存在的一个不争事实时,一元价值社会中价值教育存在的合理性理据就丧失了。30年来,我国社会价值模式的转变也必然导致了对灌输式价值教育模式的否定,然而在转变后的多元价值社会中,价值教育不可能支持价值中立和完全宽容的立场。因此,多元价值背景下,价值教育需要向培育价值理性和捍卫客观的价值秩序,以及促进价值分享和价值对话方向转变。这不但是捍卫价值教育自身的需要,同时也是捍卫多元价值社会存在的需要。     

Race-Based Peremptory Challenges: An Empirical Analysis of Litigation from the U.S. Court of Appeals, 2002–2006

This paper examines race-based peremptory challenges. Such challenges occur during the voir dire jury selection process. The process allows both the defense and the prosecution to strike jurors who they believe will not decide cases fairly. However, in the case of Batson v. Kentucky 476 U.S. 79 (1986), the Supreme Court ruled that race could not be used as a factor in eliminating prospective jurors. This paper examines federal litigation for five years in which it was alleged that race was used as a factor in removing a juror. An examination of the cases revealed that most of the cases involved sole male litigants who allege that there were multiple race-based peremptory challenges used in their cases. Moreover, most of the cases that led to the allegations involved violent offenses. Other case characteristics are noted, but of most significance was the finding that most appellants lost their cases. As such, the courts felt that most of the challenges were, in fact, race neutral. The implications of this research are discussed. This study was funded by an undergraduate research grant from Penn State University.     

Blind validation of postmortem interval estimates using developmental rates of blow flies

This study evaluated the use of different degree day (DD) models, developmental thresholds and developmental data sources for estimating postmortem interval (PMI) based on developmental rates of blow flies (Diptera: Calliphoridae). Blow fly evidence was collected from three mock crime scenes and sent for blind analysis of PMI. PMI estimates were calculated using averaging, single sine, double sine, single triangle, and double triangle models of DD calculation with minimum developmental thresholds of 0, 6 and 10 °C and Anderson's, Byrd and Allen's, Greenberg's, Nishida's and Kamal's developmental data sets. These estimates were compared with the actual PMI to determine which combination of DD model, developmental threshold and developmental data provided the most accurate estimate. For all three cases, at least one method gave a PMI estimation that was within 1 day of the actual date of death. There was no variability between PMI estimated using the five models of DD calculation. Overall, as lower developmental threshold increased, the PMI interval estimates increased. Depending on the developmental data set used, increasing the lower developmental threshold caused some overestimations of the date of oviposition, with estimates given that were prior to the actual death. Future PMI estimates should include error ranges, so that overestimation of PMI is avoided.     

Interrogation of short tandem repeats using fluorescent probes and melting curve analysis: A step towards rapid DNA identity screening

Current forensic DNA profiling methods rely on the analysis of samples at specialised laboratories with an average turnaround time of several days. The ability to rapidly determine a partial profile of short tandem repeats at the point-of-arrest would be of great benefit to police forces around the world, for example enabling a suspect to be rapidly included or excluded from an investigation. We have developed a homogeneous PCR method for the interrogation of STR loci utilising fluorescent oligonucleotide probes and melting curve analysis. Alleles of the D18S51, TH01 and D8S1179 loci were differentiated and identified on the basis of target length and probe melting temperature. Assay performance was evaluated by comparing melting peak data with the AmpFlSTR^® SGM Plus^® system. The method is compatible with direct analysis of unpurified buccal swab samples, enabling a partial STR profile to be generated within 1 h.     

Failure to Update: An Institutional Perspective on Noncompliance With the Family and Medical Leave Act

At least one‐quarter of covered workplaces violated the parental leave requirements of the Family and Medical Leave Act of 1993 (FMLA) when surveyed in 1997. What explains this noncompliance? Using a survey of 389 U.S. workplaces and qualitative interviews with managers in 40 organizations, I demonstrate that noncompliance comes in distinct forms. Some forms of noncompliance result from a failure to update institutionalized—and gendered—policies, practices, and norms. This form of noncompliance (indicated by illegally short leaves) is better explained by the institutional perspective, while outright noncompliance (as evidenced by a lack of leaves) is best explained by rational choice and deviant culture theories.